DEPARTMENT OF INSURANCE

Affiliations

Name	Koss, James Michael	DOIID	1103788	NAIC NPN	432120

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/8/2020	12/31/2024
Active	Non Resident	Agent	Life	10/8/2020	12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	3/25/2022	10/15/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/29/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/25/2022	10/15/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	7/29/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	3/23/2022	5/12/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	3/23/2022	5/12/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/7/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/15/2021
Inactive	CareSource Kentucky Co.	838179	Agent - Health	4/27/2021	4/7/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/14/2022	5/9/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/25/2022	10/15/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/23/2021	6/2/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/23/2020	7/28/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/23/2020	7/28/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/11/2022	5/9/2023
Inactive	Humana Insurance Company	301104	Agent - Health	6/14/2022	5/9/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/14/2022	5/9/2023
Inactive	Independence American Insurance Company	524747	Agent - Health	8/9/2021	12/30/2022
Active	SilverScript Insurance Company	663526	Agent - Health	7/29/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/16/2021	1/3/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/16/2021	1/3/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/16/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/16/2021	1/3/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/15/2021	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/13/2021	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	6/9/2022	7/21/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/9/2022	7/21/2023